Avaliação da Qualidade de Vida Após Tratamento Protético em Pacientes com Edentulismo Total: Revisão Sistemática da Literatura

Abstract

The number of individuals in Brazil who have edentulism is increasing, and this condition triggers functional and aesthetic changes that have negative psychosocial impacts. Currently, there are several alternatives for aesthetic-functional restoration, such as conventional prostheses, overdentures or protocol-type prostheses. The purpose of this systematic review is to evaluate the impact of different interventions in relation to changes in quality of life related to oral health. The systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (Prisma) checklist. The study included adults and elderly people with lower total edentulism, rehabilitated with implant-retained and implant-supported fixed prostheses. The comparative groups were patients who received a mucosupported prosthesis or overdenture. Articles that analyzed only the maxillary region, did not present a comparator group, reviews, case reports and series, letters to the editor and conference abstracts were excluded. Initially, 448 studies with prospective randomized and non-randomized data were selected. After applying the eligibility criteria, five works were included. The questionnaires used were: OHIP-14; OHIP-49; OHIP-Edent; OIDP and WHOQOL-BREF. The results indicated that implant-retained prostheses and overdentures had similar performance to each other and outperformed conventional mucus-supported prostheses in the analyzed aspect.